COLUMBIA BASIN HEALTH ASSOCIATION – NPI #1710232749
Clinic/Center

COLUMBIA BASIN HEALTH ASSOCIATION is an AHC clinic located in MATTAWA, WA. NPPES has assigned the NPI number 1710232749 to COLUMBIA BASIN HEALTH ASSOCIATION on July 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on May 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLUMBIA BASIN HEALTH ASSOCIATION below.

NPI Profile for
COLUMBIA BASIN HEALTH ASSOCIATION

NPI Number
1710232749
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLUMBIA BASIN HEALTH ASSOCIATION
Doing Business As (dba): COLUMBIA BASIN HEALTH ASSOCIATION
Primary location
601 GOVERNMENT WAY
MATTAWA, WA 99349
Phone: (509) 488-5256 Fax: (509) 488-9939
Mailing address
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone: (509) 488-5256 Fax: (509) 488-9939
Organization Subpart
No
Authorized Official
NIEVES GOMEZ
CEO
Phone: (509) 488-5256
Updated
Certification Date
May 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COLUMBIA BASIN HEALTH ASSOCIATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERDLI CRIME VICTIMS#WA8908941
OTHERDLI GROUP#WA0035900
OTHERMEDICARE PTAN#WA50-1877
OTHERRAILROAD MEDICARE#WAC03323
OTHERUGS MDC DSHS CROSSOVERWA7107675
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
WA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.